激光联合药物治疗中心性浆液性脉络膜视网膜病变的疗效观察.pdfVIP

576 Medical Science Journal of Central South China,Nov.2013,Vol.41,No.6 文章编号:2095-1116(2013)06-0576-04 ·临床医学· 激光联合药物治疗中心性浆液性脉络膜 视网膜病变的疗效观察 金摇 婷,薛淑红 (广州市中西医结合医院眼科,广东广州510800) 摘摇 要:摇 目的摇 评价激光联合七叶洋地黄双苷滴眼液及复方血栓通胶囊治疗中心性浆液性脉络膜视网膜病 变(CSC)的临床疗效。 摇 方法摇 CSC 患者42例(42 眼)随机分成2组,观察组激光封闭渗漏点,术后眼局部使用七 叶洋地黄双苷滴眼液,同时服用复方血栓通胶囊,连用30 天。 对照组单纯激光封闭渗漏点。 对两组疗效进行观察 并比较。 摇 结果摇 治疗后2 周,观察组好转率90.5%,对照组好转率61.9%,两组间差异有统计学意义(P = 0郾03)。 治疗后4 周、6周观察组治愈率明显高于对照组(P =0.002;P =0.004),尤其在治疗后4 周时差异更加显 著。 摇 结论摇 视网膜激光光凝联合七叶洋地黄双苷滴眼液、复方血栓通胶囊治疗CSC,标本兼治,大大提高了治愈 效果,明显缩短了病程,值得临床推广。 关键词:摇 中心性浆液性脉络膜视网膜病变;摇 激光;摇 七叶洋地黄双苷滴眼液;摇 复方血栓通胶囊;摇 光学相 干断层成像 中图分类号:R774郾1摇 摇 摇 文献标识码:A Clinical Effect of Laser Combined with Drugs in Treating Central Serous Chorioretinopathy JIN Ting,XUE Shuhong (Department of Ophthalmology,GuangzhouHospital of Integrated Traditional and WesternMedicine,Guangzhou,Guangdong 510800,China) Abstract:摇 Objective摇 To evaluate the clinical effect of laser combined with Esculin and Digitalisglycosides Eye Drops and complex Xueshuantong capsules in treating central serous chorioretinopathy.摇 Methods摇 42 cases(42 eyes) with CSCwere divided into two groups randomly.In observation group,Laser treatment was performed at the spots of leak鄄 age.After laser coagulation,thepatientsweretreatedwith Esculin and DigitalisglycosidesEye Drops(one drop atime,three times daily) and complex Xueshuantong capsules (three capsules one time,three times daily) for thirty days.Patients in control group were onlytreatedby laser coagulation.Thetherapeuticeffects